同期或分期手术对复杂性肛瘘伴肛周脓肿患者疗效及安全性的影响  

Effect of simultaneous or staging surgery on the efficacy and safety of complicated anal fistula with perianal abscess

作　　者：徐晓波[1] Xu Xiaobo(Department of Anorectal,Yuechi County Traditional Chinese Medicine Hospital,Guangan,Sichuan 638300,China)

机构地区：[1]岳池县中医医院肛肠科,四川广安638300

出　　处：《医药前沿》2020年第21期44-45,共2页Journal of Frontiers of Medicine

摘　　要：目的:探讨同期或分期瘘管外切联合松挂线手术对复杂性肛瘘伴肛周脓肿患者疗效及安全性的影响。方法:选取我院2017年1月—2019年6月收治复杂性肛瘘伴肛周脓肿患者共140例,随机分为分期组(70例)和同期组(70例),均行瘘管外切联合松挂线手术治疗;其中分期组采用分期手术治疗,同期组采用同期手术治疗;比较两组治愈率、手术用时、创面愈合用时、术后住院用时及术后并发症发生率。结果:分期组与同期组治愈率分别为90.00%(63/70),92.86%(65/70);两组治愈率比较差异无统计学意义(P>0.05);分期组手术用时、创面愈合用时及愈合时间分别为(48.92±6.70)min,(23.68±4.83)d,(19.35±3.36)d;同期组手术用时、创面愈合用时及愈合时间分别为(40.07±5.33)min,(7.18±1.46)d,(6.52±1.92)d;同期组手术用时、创面愈合用时及愈合时间均显著少于分期组(P<0.05);两组术后并发症比较差异无统计学意义(P>0.05)。结论:两种瘘管外切联合松挂线手术治疗复杂性肛瘘伴肛周脓肿具有相近疗效和安全性,其中同期手术在缩短手术用时和促进术后康复方面更具优势。Objective To investigate the influence of second-stage and one-stage operation on clinical efficacy and safety of complex anal fistula patients combined abscess.Methods 140 complex anal fistula patients combined abscess were chosen in the period from January 2017 to June 2019 in our hospital and randomly divided into 2 groups including second-stage group(70 patients)with secondstage extra-dissection and loose seton operation and one-stage group(70 patients)with one-stage extra-dissection and loose seton operation;and the cure rate,operation time,the wound healing time,the hospital staying time and the complication incidence after operation of 2 groups were compared.Results The cure rate of second-stage group and one-stage group were respectively 90.00%(63/70),92.86%(65/70).There was no significant difference in the cure rate between 2 groups(P>0.05).The operation time,the wound healing time and the hospital staying time of second-stage group were respectively(48.92±6.70)min,(23.68±4.83)d,(19.35±3.36)d.The operation time,the wound healing time and the hospital staying time of one-stage group were respectively(40.07±5.33)min,(7.18±1.46)d,(6.52±1.92)d.The operation time,the wound healing time and the hospital staying time of one-stage group were significantly less than second-stage group(P<0.05).There was no significant difference in the complication incidence after operation between 2 groups(P>0.05).Conclusion Two kinds of operation in the treatment of complex anal fistula patients combined abscess possess the same clinical effects and safety;but one-stage extra-dissection and loose seton operation application can efficiently shorten the operation time and speed up the postoperative rehabilitation process.

关 键 词：手术 复杂性肛瘘 肛周脓肿 疗效 安全性 

分 类 号：R574.8[医药卫生—消化系统]